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The access and waiting-time standard for first-episode psychosis: an opportunity for identification and treatment of psychosis risk states?

  • Richard Whale (a1) (a2), Andrew Thompson (a3) (a4) and Rick Fraser (a1) (a2)
Summary

Expansion of early intervention services to identify and clinically manage at-risk mental state for psychosis has been recently commissioned by NHS England. Although this is a welcome development for preventive psychiatry, further clarity is required on thresholds for definition of such risk states and their ability to predict subsequent outcomes. Intervention studies for these risk states have demonstrated that a variety of interventions, including those with fewer adverse effects than antipsychotic medication, may potentially be effective but they should be interpreted with caution.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Richard Whale (richard.whale@brighton.ac.uk)
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Declaration of interest

None.

Footnotes
References
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1 NHS England. Guidance to Support the Introduction of Access and Waiting Time Standards for Mental Health Services in 2015/16. NHS England, 2015 (https://www.england.nhs.uk/wp-content/uploads/2015/02/mhaccess-wait-time-guid.pdf).
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4 Marwaha, S, Thompson, A, Upthegrove, R, Broome, A. 15 years on – early intervention for a new generation. Br J Psychiatry 2016; in press.
5 Linscott, RJ, van Os, J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013; 43: 1133–49.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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The access and waiting-time standard for first-episode psychosis: an opportunity for identification and treatment of psychosis risk states?

  • Richard Whale (a1) (a2), Andrew Thompson (a3) (a4) and Rick Fraser (a1) (a2)
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